CPT code 69650: Stapes mobilization2026 Medicare rate & RVUs in Nebraska
An otologist surgically frees a fixed stapes to address conductive hearing loss when the operative work is mobilization rather than stapes removal.
CMS doesn’t publish an office rate for 69650 in Nebraska.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 69650 covers
An otologist or other otolaryngologist performs this middle-ear operation to free a stapes that is abnormally fixed and limiting sound transmission. It is generally performed in an operating room under magnification, commonly for conductive hearing loss associated with stapes fixation. The defining work is mobilizing the stapes; a procedure that removes or opens the stapes and restores ossicular continuity is coded according to the applicable stapes surgery code instead.
Report 69650 when the operative report supports mobilization as the procedure performed, rather than a more extensive stapes operation. Documentation should identify the affected ear, the stapes fixation or other indication, and the work performed on the stapes. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
69650 in Nebraska
| Payment locality | Office | Facility |
|---|---|---|
| Nebraska | Unavailable | $661.49 |
How the 69650 rate is calculated
Each of 69650’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 69650
RVUs × geographic indexes × conversion factor
Work9.56
9.56 RVUs× 1.000 GPCI
Practice expense10.53
10.53 RVUs× 1.000 GPCI
Malpractice1.39
1.39 RVUs× 1.000 GPCI
Adjusted RVUs
21.4800
Conversion factor
$33.4009
Medicare rate
$717.45
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 69650
69650 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 69650
Stapes mobilization
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.07/0.79/0.14 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 69650
Stapes mobilization
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
69650 without 50 · national facility
$717.45
Stapes mobilization
69650-50 · Bilateral: 150%
$1,076.18
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
69650 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 69660Stapes surgery
- Choose 69650 for stapes mobilization. Choose 69660 when the documented operation is a stapedectomy or stapedotomy with restoration of ossicular continuity.
- 69661Stapes revision
- Both codes are for stapes surgery, but the operative technique determines which code applies. Use the operative report to distinguish mobilization from the work represented by 69661.
- 69662Stapes revision
- Use 69650 for mobilization, not revision stapes surgery. When the operative report documents revision work, evaluate 69662 and the applicable procedure details.
69650 billing questions
When should 69650 be chosen instead of a stapedectomy code?
Use 69650 when the documented operation mobilizes the stapes. If the surgeon removes or opens the stapes and restores ossicular continuity, select the applicable stapedectomy or stapedotomy code instead.
What documentation supports 69650?
The operative report should identify the ear, the reason for surgery such as stapes fixation with conductive hearing loss, and the specific mobilization performed.
Does the 90-day global period include postoperative care?
Yes. CMS includes the day-before preoperative visit and 90 days of related postoperative care in the global period.
How is bilateral 69650 paid?
CMS pays a bilateral procedure reported with modifier 50 at 150%.
Can an assistant surgeon or co-surgeon be billed?
CMS applies a statutory restriction to assistant-at-surgery payment for this code. Co-surgeons and team surgery are not permitted.
What happens when another procedure is performed in the same session?
Under the standard multiple-procedure reduction, CMS pays the highest-valued procedure in full and the other procedures at 50%.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
Fee sheets
Put 69650 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →